秦皇岛市幼儿园在园儿童屈光与视力筛查分析  

Analysis of refraction and vision screening for children in a kindergarten in Qin Huangdao city

作　　者：曾丽明[1] Zeng Liming(Department of Ophthalmology,The Second Hospital of Qinhuangdao,Qinhuangdao 066600,China)

机构地区：[1]秦皇岛市第二医院眼科,066600

出　　处：《中国斜视与小儿眼科杂志》2020年第3期9-13,4,共6页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：秦皇岛市科学技术研究与发展计划项目(编号201805A 128)。

摘　　要：目的分析秦皇岛市两类幼儿园在园儿童屈光及视力筛查结果,了解学龄前儿童屈光状态和视力情况,为儿童眼保健工作的开展提供依据。方法城区28所幼儿园包括1类园和2类园,所有在园儿童使用SureSight视力筛选仪屈光筛查,4岁以上儿童使用国家标准对数视力表检查视力。结果屈光筛查幼儿园在园儿童共4672人,异常率为16.31%;视力表视力检查共2505人,视力异常率为13.8%。屈光筛查正常2056人中视力筛查正常共1982人,占比约96.4%。在园儿童较低年龄段1类园散光率和视力异常率较2类园高(P<0.05);可疑弱视比例在4岁和5~6岁年龄段2类园较高(P<0.05)。学龄前儿童可疑弱视比例为1.3%,可疑近视比例为0.2%。结论屈光和视力是儿童眼保健的重要内容,视力表视力检查或可仅用于屈光筛查异常的儿童。开展学龄前儿童屈光及视力筛查工作,可以早期发现影响儿童视力发育的潜在问题,为早期干预提供依据。Objective The results of refraction and visual acuity check for children in two kinds of kindergartens were analyzed,to investigate the conditions of refraction and vision of preschool children in our city and to provide the references for the development of children’s eye care work.Methods A sample of 28 kindergartens in the urban area of our city(including class 1 and class 2 kindergartens)were selected.All children in kindergarten were examined with Suresight vision screening device.The national standard logarithmic visual acuity chart was used for visual examination in children over4 years old.Results A total of 4672 children’s refraction were checked,with an abnormal rate of 16.31%.A total of 2,505 people were examined by visual acuity chart,and the visual acuity abnormal rate is 13.8%.In the lower age group of children,the astigmatism rate and abnormal vision rate of class 1 were higher than class 2(P<0.05).The proportion of suspicious amblyopia in class 2 was higher(P<0.05)at the age of 4 and 5~6.The proportion of suspected amblyopia was1.3%,and the proportion of suspected myopia was 0.2%among preschool children in our city.In addition,A total of 1,982 people had normal vision,accounting for about 96.4%of the 2056 people with normal refraction.Conclusion Refraction and visual acuity are important parts in children’s eye care.The visual acuity chart examination may be used only to check for children with abnormal refractive screening.It is necessary to check the preschool children’s refraction and visual acuity,so as to find the problems affecting a child’s visual development,to offer evidences for early intervention.

关 键 词：学龄前儿童 屈光 视力 

分 类 号：R778.1[医药卫生—眼科]